CN101296675A

CN101296675A - Thorax supporting device

Info

Publication number: CN101296675A
Application number: CNA200680040261XA
Authority: CN
Inventors: J·埃普尔; L·斯文森
Original assignee: Garvington Res and Dev Inc; Heartsease Therapy LLC
Current assignee: Jurgen Ali
Priority date: 2005-10-28
Filing date: 2006-10-27
Publication date: 2008-10-29
Anticipated expiration: 2026-10-27
Also published as: CN101296675B; AT502663A4; DE502006006601D1; EP1940330A2; EP1940330B1; JP5127717B2; WO2007048162A2; US20090131841A1; JP2009513191A; ATE462387T1; AT502663B1; WO2007048162A3

Abstract

Disclosed is a thorax supporting device comprising at least one tensile element (1) that surrounds the thorax as well as support elements which can be pressed against the thorax with the aid of the at least one tensile element. The support elements are formed by at least two cushions (2, 3) or similar which are disposed on both sides of the part of the thorax that is to be supported. The tensile element (1) encompasses at least two sections with different elasticity. A first section (13) which extends between the two cushions (2, 3) across the thorax region to be supported is provided with less elasticity in the pulling direction than a second section (14) that extends in the opposite direction between the cushions (2, 3).

Description

The bracing or strutting arrangement that is used for thorax

The present invention relates to a kind of bracing or strutting arrangement that is used for thorax, it has at least one tractive element that thorax is surrounded and the supporting member that can be pressed towards thorax by described at least one tractive element.

This bracing or strutting arrangement for example also plays a part at fracture of rib post-reinforcing thorax to accelerate healing as the fracture of rib band at this point.This fracture of rib band for example is made up of the band that surrounds thorax, and band plays a part to draw or tension element and the thoracic expansion between respiratory period is limited by tightening up accordingly.Especially after thorax was opened, this fracture of rib band is subsidiary to be supported spinal column and therefore prevents back pain.

A kind of fracture of rib band is for example disclosed in GB 626425A.

Disclose a kind of similar device in WO 96/28129A1, this device is not as the fracture of rib band, but as Heart-lung restoring instrument.This instrument is formed by the band around thorax, is provided with expandable liner on the medial surface of band, so that corresponding pressure is applied on the thorax.

The reinforcing of thorax not only is necessary after fracture of rib, and after opening breast, for example also be necessary for operation on heart.After with the thorax closure, must reinforce, yet reinforce the difficulty that becomes owing to follow the thoracic expansion of breathing appearance to make to corresponding wound.Especially for cough and other unexpected thoracic expansions, can increase the wound burden.So the objective of the invention is to, a kind of bracing or strutting arrangement of opening civilian described type is provided, making thorax obtain to accelerate healing in wound area by it is the fully firm of purpose, makes simultaneously to allow to breathe the thoracic expansion that causes under to the care of wound area.

In order to solve this purpose, be characterised in that according to bracing or strutting arrangement of the present invention supporting member is formed by at least two liner or analog that are arranged on the thorax part both sides that need support; And the tractive element has at least two sections that elasticity is different, wherein has the less elasticity of second section of comparing the reverse extension in edge between liner on the lead at first section that extends between these two liners above the thorax zone that needs support.Because supporting member is formed by at least two liner or analog that are arranged on the thorax part both sides that need support, so can stop on the one hand traction or tension element directly to lean against thorax part that needs support and especially by opening on the wound that breast forms, on the other hand can be for being in thorax zone between the liner substantially by expansion creation precondition.Further make following regulation according to the present invention, promptly the tractive element is compared the less elasticity of tractive element residue section being between these two liners to have in the section that extends above the thorax zone that needs support for this reason.Has less elasticity in the section that the tractive element extends above the thorax zone that needs support, perhaps the tractive element does not preferably possess elasticity basically in this section, make the distance between two liners that define wound keep constant, thereby thoracic expansion can not act in this sensitizing range.Thoracic expansion only acts between the liner more along in the section that oppositely extends, and it is normal and need not in the such zone of wound healing therefore only to act on thorax.Therefore, after surgery in the zone, just the breast joint-cutting of opening in the zone after the operation of cardiopulmonary has for example obtained protection, and stop the cracking of joint-cutting and so alleviate the pain of postoperative appearance.

For allow according to bracing or strutting arrangement of the present invention adapt to various demands and to structure optimization make following remodeling, that is, the length of first section of tractive element can be regulated.Can be adjusted between two liners traction or the effective length of tension element in the thorax subregion that needs support thus, and this effective length is matched with act on suprathoracic total pressure as the distance piece effect.

In order to guarantee that constant what must consider is that liner will keep it can not slide with respect to the position of thorax, because the slip of liner can directly bring burden and therefore cause wound area no longer firm for spacing between two liners.Must consider to allow the corresponding antiskid of liner ground constitute on the one hand thus, thereby make following setting in a kind of preferred variant according to bracing or strutting arrangement of the present invention, promptly liner has the aspect that increases friction on the side of thorax.Must consider that on the other hand liner is given to take into account by following content with regard to this point with regard to structure of the present invention to the enough pressure of thorax already diametrically, the traction or the tension element that promptly surround thorax act on the thorax under connecting in the middle of the liner.Traction or tension element are arranged in the zone that needs support and directly do not lean against on the thorax, make the power that is along the circumferential direction caused by traction or tension element be resolved into the radially component of effect efficiently thus in cushion region.Liner is high more, that is to say that the distance of tractive element thorax in cushion region is big more, and it is just high more to act on suprathoracic power by liner so.

Just as already mentioned, follow the thoracic expansion that breathe to occur to be limited in according to bracing or strutting arrangement of the present invention in the elastic range of traction or tension element, wherein in the scope of elasticity outside the current thorax scope that is in needs support that is present in traction or tension element.Second section of traction or tension element then needn't flexibly constitute on whole length, but is preferably as follows setting, and promptly second section has the expansion regions that is limited in its elastic range, and does not have elasticity outside this expansion regions substantially.Can the permission expansion of traction or tension element be limited and control by this formation, because when surpassing the expansion that allows by expansion regions, can stop further expansion.Utilize this mode and method can improve supporting role and improve the firm of bracing or strutting arrangement.

In order to allow bracing or strutting arrangement and various chest measurement match to structure optimization made following remodeling, promptly the length of second section can be regulated.

Preferably allow the tractive element constitute at a distance of the belt or the band that also surround thorax respectively each other by at least two.Can realize and the cooperating of the various bodily forms by a plurality of belts or band are set, and for example for single belt or band, can relate to different length adjustment.In order to realize best pressure distribution and therefore realize the supporting comfortableness that root is high that the width of single belt or band can also differ from one another.For example when related belt must bring higher pull strength, can use the belt of broad, compare uniform surface pressing with other belts so that obtain.Remain in that space between single belt or the band works to improve air circulation and the skin alleviated herein is heated.

Can preferably make following setting in order further to improve the supporting comfortableness, promptly second section of traction or tension element carries the added with padding that places between tractive element and the thorax, wherein being provided with preferably of added with padding implemented in the following manner, and above-mentioned other liner promptly is set in the side regions of thorax.Thereby can allow pressure distribution on bigger face, also avoid skin or possibility fat deposit to be compressed thus by single band.Added with padding also can be arranged in the dorsal area to improve comfortableness.

Preferably make following setting for the transmutability that improves bracing or strutting arrangement, but promptly liner removal ground is connected with the tractive element.But this removal formula connect can utilize traditional mode, for example realize by magic tape and for example guarantee for cleaning purpose easy convertibility.The probability of selecting between different liners is provided in addition.

For the steadiness that improves bracing or strutting arrangement can preferably be made following setting, that is, the tractive element is connected with two shoulder belts.This shoulder belt prevents the suprathoracic bracing or strutting arrangement landing patient.In addition, the tensioning of shoulder belt makes also that simultaneously pull strength along the circumferential direction is improved, and that is to say and has improved suprathoracic pressure.

At last, the tractive element and or back member can be provided with the pocket that is used to hold therapeutic equipments, for example magnet or electric stimulation electrode.Under individual cases, for example for alleviating pain, this pocket also can expectably for example be used for cooling element,

By the embodiment that schematically shows in the accompanying drawing the present invention is done detailed explanation below.Wherein Fig. 1 is the front view according to bracing or strutting arrangement of the present invention that is placed on the image, and Fig. 2 is a rearview, and Fig. 3 is a side view.

From accompanying drawing, can see, press to the liner of thorax and form by the traction of surrounding thorax or tension element and by being pulled element substantially according to bracing or strutting arrangement of the present invention.Traction or tension element under present case by three each other at a distance of and the belts (tractive element) 1 that surround thorax respectively form, belt and

liner

2,3,4 are connected with 5 or act on these liners.Be the thorax zone of need supporting thus between

liner

2 and 3, just under present case for implementing the breastbone zone that heart or pulmonary surgery will be opened thorax.Liner 2 can be formed and for example is connected under the situation of using magic tape with belt (tractive element) 1 or forepiece 9 with 3 by traditional material, to guarantee to be easy to convertibility.Increase the aspect that for example forms that rubs on the side of thorax, can being provided with of liner, thereby liner can not slide on skin by neoprene.Liner 2 and 3 can also be connected to each other to constitute unique liner spare.This liner spare leans against on the thorax and in the thorax zone that needs support in the both sides in the thorax zone that needs support has groove, and therefore can for example have the U-shaped cross section.

The tractive element 1 that thorax is surrounded can distinguish in a circumferential direction integratedly and constitute, wherein in order more easily to loosen in zone between two parties and more easily to strain and be provided with bracelet 6.What but be provided with under present case is not the tractive band 1 that one constitutes, but is provided with back member 7, back member 7 respectively ground, both sides by magic tape be connected with side part 8.Side part 8 extends to

liner

2 or 3 again, and wherein these two side parts 8 are connected to each other by forepiece 9.Two shoulder belts 10 forwardly extend between element 9 and the back member 7, these two shoulder belts can be untied once again and are regulated according to its length by bracelet 11.Shoulder belt 10 prevents the bracing or strutting arrangement landing.If bracing or strutting arrangement upwards slides in contrast, then can utilize to be located at front and/or the lateral ring 12 of taking with bracing or strutting arrangement traction downwards manually.

The tractive element that is formed by tractive band 1 has first section 13 that extends between these two liners 2 and 3.In first section 13, tractive band 1 is stiff substantially, thereby is keeping equal distance between liner 2 and 3.Prerequisite is,

liner

2 and 3 slides with respect to thorax, and such result is, can reinforce to the zone of the thorax between

liner

2 and 3 and by opening the wound that breast forms.During causing thoracic expansion and especially by breathing at unexpected thoracic expansion, have unsteady danger during for example in

cough.Liner

2 and 3 by these two distances that are consistent each other all the time can stop effectively and thoracic expansion occur in wound area, and thoracic expansion only takes place in by all the other the thorax zones outside these two

liners

2 and 3 zones that limit more.In second section 14 of tractive band 1, promptly in the residue circumferential sectors that oppositely extend on the edge between

liner

2 and 3, thoracic expansion causes the length of tractive band 1 to change in the elastic range of tractive band 1.Tractive band 1 has expansion regions 15 for this reason, and expansion regions 15 is limited in its elastic range.Expansion regions 15 is made up of elastic tape section and parallel with it not spreading belt section thus, and the spreading belt section does not just come into force after elastic segments surpasses predetermined expansion and prevents further expansion.

In current embodiment, only show the liner of cuboid shape.Liner also can or have other shapes by contra bevel naturally, and can have different size on its length, width and thickness.Also can integrated cooling element in liner.

In order also compatibly to be used for the Ms, can that remove the centre of three tractive elements 1, and can on this position, for example medicated bra be integrated in this bracing or strutting arrangement.Being used for the material of tractive band 1 can be by natural material or also can be formed by artificial material.

Claims

1. the bracing or strutting arrangement that is used for thorax, has the supporting member that at least one surrounds the tractive element of thorax and can be pressed towards thorax by described at least one tractive element, it is characterized in that, described supporting member is formed by at least two liner (2,3) or analog that are arranged on the both sides, thorax position that need support; And tractive element (1) has at least two sections that elasticity is different, wherein at these two liners (2,3) first section (13) that extends above the thorax zone that needs support between has on lead to be compared between liner (2,3) along the less elasticity of second section (14) of oppositely extending.

2. by the described bracing or strutting arrangement of claim 1, it is characterized in that first section (13) extending between two liners (2,3) of tractive element (1) does not have elasticity on lead above the thorax zone that needs support.

3. by claim 1 or 2 described bracing or strutting arrangements, it is characterized in that the length of first section (13) can be regulated.

4. by claim 1,2 or 3 described bracing or strutting arrangements, it is characterized in that second section (14) has the expansion regions (15) that is limited in its elastic range, and does not have elasticity outside this expansion regions (15) substantially.

5. by one of claim 1 to 4 described bracing or strutting arrangement, it is characterized in that the length of second section (14) can be regulated.

6. by one of claim 1 to 5 described bracing or strutting arrangement, it is characterized in that liner (2,3) has the aspect that increases friction on the side of thorax.

7. by one of claim 1 to 6 described bracing or strutting arrangement, it is characterized in that tractive element (1) constitutes at a distance of the tractive band that also surrounds thorax respectively each other by at least two.

8. by the described bracing or strutting arrangement of one of claim 1 to 7, it is characterized in that second section (14) of tractive element (1) is carrying the side regions that preferably places thorax and/or the added with padding (4,5) of dorsal area.

9. by the described bracing or strutting arrangement of one of claim 1 to 8, it is characterized in that, liner (2,3,4,5) but removal ground be connected with tractive element (16).

10. by one of claim 1 to 9 described bracing or strutting arrangement, it is characterized in that tractive element (1) is connected with two shoulder belts (10).

11., it is characterized in that tractive element (1) is provided with and is used to hold therapeutic equipments, for example the pocket of magnet or electric stimulation electrode by one of claim 1 to 10 described bracing or strutting arrangement.